J. Fau1, P. Vítek2, K. Procházková1, P. Kurial1, T. Votruba1, P. Vodička1, V. Mařík1
1 Department of Plastic Surgery, Hospital České Budějovice, Czech Republic 2 Department of Oncology, Hospital České Budějovice, Czech Republic
Summary
Treatment of keloids is still challenging due to their tendency to frequent recurrences and the lack of universally accepted treatment protocols. Initial approaches to the treatment of keloids include conservative strategies such as intralesional steroid injections, the use of occlusive dressings, compression therapy, silicone gel or sheeting, and laser treatment. In case of the failure of conservative treatment or if the keloid is extensive or a good surgical result is expected, more aggressive methods can be used. These include surgical removal of the keloid, which itself carries a very high probability of recurrence. In these more complex cases, the combination of surgery and postoperative radiotherapy often leads to a satisfactory outcome. Even in rare cases, definitive radiotherapy is used without prior surgical excision. In this case report, we would like to present our experience with the treatment of extensive keloid scars of the left auricle.
Key words
keloid scar – brachytherapy – auricle – steroid injection
Fau J, Vítek P, Mařík V. Extensive keloid scar of the left auricle – combined treatment of excision followed by brachytherapy – a case report. Acta Chir Plast 2025; 67(3): 264–267.